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SENIORCARE HOMES LLC NPI 1639313067


NPI Information

NPI: 1639313067
Provider Name: SENIORCARE HOMES LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 17D2215822

Address:
6918 W 68TH ST
OVERLAND PARK, KS
ZIP 66204
Phone: (913) 236-0036
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SENIORCARE HOMES LLC is an adult care home custodial care facility in Overland Park, KS. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. SENIORCARE HOMES LLC NPI is 1639313067. The provider is registered as an organization entity type.

The provider's business location address is:

6918 W 68TH ST
OVERLAND PARK, KS
ZIP 66204-301
Phone: (913) 236-0036

The provider's authorized official is Jerald Leslie Pullins .
The authorized official title is President and has the following contact phone number (913) 236-0036.

The CLIA number assigned to this NPI record is 17D2215822 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeB046036KANSASNo
2311ZA0620XCustodial Care FacilityAdult Care HomeB046040KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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